brock8024 Posted January 10, 2008 Author Share Posted January 10, 2008 You noticed when looking for the JVD that her neck seemed a little swollen like a goiter but hard to tell since she is 5'7 and 240. Link to comment Share on other sites More sharing options...
brock8024 Posted January 10, 2008 Author Share Posted January 10, 2008 during transport did you get her meds and allergies? NKDA and her list is already listed Link to comment Share on other sites More sharing options...
AnthonyM83 Posted January 10, 2008 Share Posted January 10, 2008 I'd go ahead and finish the chest pain protocol, simply because I'm not qualified to rule out cardiac etiology in the field (or so I've been told so). But like ccmedic, I was thinking costochondritis. Does the neck swelling seem like swollen lymph nodes or really goiter type swelling? Ask her and husband if it's normal. If not, how long has it been that way. Any pain? Temperature problems? Feeling ill? Skin signs normal, right? Link to comment Share on other sites More sharing options...
ccmedoc Posted January 10, 2008 Share Posted January 10, 2008 I still cant find meds?? :oops: ...only antibiotics?? Link to comment Share on other sites More sharing options...
brock8024 Posted January 10, 2008 Author Share Posted January 10, 2008 I'd go ahead and finish the chest pain protocol, simply because I'm not qualified to rule out cardiac etiology in the field (or so I've been told so). But like ccmedic, I was thinking costochondritis. Does the neck swelling seem like swollen lymph nodes or really goiter type swelling? Ask her and husband if it's normal. If not, how long has it been that way. Any pain? Temperature problems? Feeling ill? Skin signs normal, right? It is actually looks like a normal neck for a person that is overweight. you palpate and feels a little firm. Pt feels alittle warm to touch. Pt states that she has felt ill due to the abscess. When she finally does talk to you in the back of the truck you notice her wiping her mouth alot. Link to comment Share on other sites More sharing options...
ccmedoc Posted January 10, 2008 Share Posted January 10, 2008 she taking any cholinergics, by chance 8) .....I doubt it is cardiac, but I could be wrong...happens all the time..Absolutely NO thyroid Hx??..I guess GERD would be possible?? Link to comment Share on other sites More sharing options...
brock8024 Posted January 10, 2008 Author Share Posted January 10, 2008 I still cant find meds?? :oops: ...only antibiotics?? My Bad, She is on HCTZ, Lisinopril, ASA, Augmentent (sp). Link to comment Share on other sites More sharing options...
brock8024 Posted January 10, 2008 Author Share Posted January 10, 2008 she taking any cholinergics, by chance 8) .....I doubt it is cardiac, but I could be wrong...happens all the time..Absolutely NO thyroid Hx??..I guess GERD would be possible?? No hx of thyroid problems. She has no N/V/D. Link to comment Share on other sites More sharing options...
ccmedoc Posted January 10, 2008 Share Posted January 10, 2008 Augmentin=Amoxicillin and clavulanate potassium Link to comment Share on other sites More sharing options...
brock8024 Posted January 10, 2008 Author Share Posted January 10, 2008 what else u want to know????? Link to comment Share on other sites More sharing options...
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